{TITLE}
{TXT_CARD_HOLDER}
{TXT_CARD_NUMBER}	- - -
{TXT_CHECK_NUMBER}
{TXT_VALIDITY}	{LOOP_VALIDITY_MONTHS_TXT} / {LOOP_VALIDITY_YEARS_TXT}
{TXT_TERMS_CONDITIONS}	{TXT_TERMS_CONDITIONS_READ} [{TXT_TERMS_CONDITIONS_SHOW}]
{TXT_PASSWORD}	{TXT_CONFIRM_ORDER}